<div class="ui-body-b formdiv">
    <div id="reg_title">
        <h3>Registrazione Utente</h3>
    </div>
    <form id="form_user_registration" action="result.jsp" method="post">
        <fieldset>
            <div data-role="fieldcontain">
                <label for="form-user_reg">Nome Utente:</label>
                <input type="text" name="username" id="form-user_reg" value=""  />
            </div>
            <div data-role="fieldcontain">
                <label for="form-password_reg">Password:</label>
                <input type="text" name="password" id="form-password_reg" value=""  />
            </div>
            <div data-role="fieldcontain">
                <label for="form-name">Nome:</label>
                <input type="text" name="name" id="form-name" value=""  />
            </div>
            <div data-role="fieldcontain">
                <label for="form-surname">Cognome:</label>
                <input type="text" name="surname" id="form-surname" value=""  />
            </div>
            <div data-role="fieldcontain">
                <label for="form-mail">E-mail:</label>
                <input type="text" name="mail" id="form-mail" value=""  />
            </div>
            <div data-role="fieldcontain">
                <label for="form-address">Indirizzo:</label>
                <input type="text" name="address" id="form-address" value=""  />
            </div>
            <div class="ui-grid-a">
                <div class="ui-block-a">
                    <input id="submit_registration" type="submit" value="Registra" data-theme="b"/>
                </div>
                <div class="ui-block-b">
                    <input type="reset" value="Cancella" />
                </div>
            </div>
        </fieldset>
    </form>
</div>
                
